Pathology · single question

Photo: a maxillary premolar area appears very DARK on the buccal aspect. Most likely?

Image for the question
  1. Old amalgam restoration (showing through / amalgam discoloration)
  2. Vascular lesion
  3. Varix
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Correct answer: A. Old amalgam restoration (showing through / amalgam discoloration)

  • A. Correct. The dark grayish appearance is classic for an old amalgam restoration darkening the tooth/showing through enamel (or amalgam staining), as seen in the image.
  • B. Incorrect. A vascular lesion is a soft-tissue red/blue blanchable lesion, not a discolored tooth.
  • C. Incorrect. A varix is a dilated vein (e.g., ventral tongue/lip), not a discolored tooth surface.

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